ROBERT S WELLER (Credential# 544386) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 24, 1996. The license expiration date date is February 28, 1998. The license status is INACTIVE.
ROBERT S WELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022963. The credential type is physician/surgeon. The effective date is December 24, 1996. The expiration date is February 28, 1998. The business address is 901 Brookmeade Dr, Winston Salem, NC 27106. The current status is inactive.
| Licensee Name | ROBERT S WELLER |
| Credential ID | 544386 |
| Credential Number | 1.022963 |
| Credential Type | Physician/Surgeon |
| Business Address |
901 Brookmeade Dr Winston Salem NC 27106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1981-07-17 |
| Effective Date | 1996-12-24 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 150719 | CSP.0012384 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | 901 BROOKMEADE DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa D Chisolm-ellis | 2147 Jamestown Rd, Winston-salem, NC 27106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erin Kelly Puttkammer | 769 Lynn Dee Dr., Winston Salem, NC 27106 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jessica Moulton Spear | 4604 Bay Creek Dr., Winston Salem, NC 27106 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Robert L Cestero | 4133 Mill Creek Rd., Winston Salem, NC 27106 | Electrical Unlimited Contractor | 2018-10-01 ~ 2019-09-30 |
| Peter E Avetta | 4230 Prestwick Crossing, Winston-salem, NC 27106 | Architect | 2016-08-01 ~ 2017-07-31 |
| Moravian Home Incorporated | 200 Salemtown Drive, Winston-salem, NC 27106 | Public Charity-exempt From Financial Requirements | ~ |
| Lecil Alexander · Gang-nail Systems Inc | 2060 Heidelbury Dr, Winston Salem, NC 27106 | Professional Engineer | 1989-03-16 ~ 1990-01-31 |
| Thomas E Gendrachi Jr | 3748 Burbank Lane, Winston-salem, NC 27106 | Physician/surgeon | 2007-03-26 ~ 2008-04-30 |
| Brenda A Scronce | 1501 Boxthorne Lane, Winston Salem, NC 27106 | Physician Assistant | 2000-12-19 ~ 2002-02-28 |
| Danielle M Surrells | 1650 Woods Road, Winston Salem, NC 27106 | Registered Nurse | 2002-11-22 ~ 2003-07-31 |
| Find all Licenses in zip 27106 | |||
| City | WINSTON SALEM |
| Zip Code | 27106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Ellen Jukoski · Robert C Weller Conference Center | 437 Pequot Avenue, New London, CT 06320 | Restaurant Caterer | 2002-09-12 ~ 2003-09-11 |
| Weller Workforce LLC | 7284 W Palmetto Park Rd, Boca Raton, FL 33433-3406 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| W.l. Weller | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-08-22 ~ 2019-08-21 |
| Weller C.y.p.b. | Connecticut Brand Registration, CT 06103 | Liquor Brand Label | 2018-07-19 ~ 2021-07-18 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Weller's Suburban Farming LLC | 30 Capitol Dr, Sandy Hook, CT 06482-1230 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Jm Weller Assoc Inc | Professional Engineer | 1994-01-19 ~ 1995-01-31 | |
| W. L. Weller Reserve | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-11-01 ~ 2020-10-30 |
| Weller Antique 107 | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-01-04 ~ 2020-01-03 |
| W.l. Weller Reserve | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2002-05-19 ~ 2005-05-18 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).